Comagine Health Provider Portal
The Comagine Health Provider Portal is a web-based application for electronically submitting utilization management review requests.
Getting Started: Register
- Download the Comagine Health Provider Portal Registration Packet.
- Complete the following forms (in the packet) and send them to Comagine Health:
- Executive Agreement
- Provider Portal Administrator Agreement
- Provider Portal Administrator Registration
We will set up your account and email login information to you.
Guides
- User Guide (June 5, 2023)
- Administrator Guide (June 5, 2023)
- Quick Start Guide — Acute Care Hospital Requests
- Quick Start Guide — Assessment Reconsideration Requests
- Quick Start Guide — CASSIP Requests
- Quick Start Guide — Continued Stay Review Extension Requests
- Quick Start Guide — Dental and Orthodontic Requests
- Quick Start Guide — DME Requests
- Quick Start Guide — DME MADs Requests
- Quick Start Guide — Home Health Requests
- Quick Start Guide — Inpatient Level of Care
- Quick Start Guide — Inpatient Requests
- Quick Start Guide — LTACH Requests
- Quick Start Guide — Outpatient Requests
- Quick Start Guide — Plan of Care Requests
- Quick Start Guide — SUD RTF Requests
Training
- Comagine Health Provider Portal Upgrade Training Webinars (May 2023)
Recordings | Slides - Comagine Health Provider Portal Training DME MADs Requests (August 2023)
Recording | Slides
Provider Notices
- DME Pricing Update (July 1, 2021)
- DHCF Transmittal 21-30: Update of Select DME Fee Schedule Rates
- DHCF Transmittal 21-21: Dental Prior Authorizations
- DHCF Transmittal 17-09: Out-of-State Nursing Facility Placement and Review Procedures
- Eligibility for Medicaid Long-Term Care Nursing Facility Services
SUD Residential Treatment Facility
- Final Rulemaking Chapter 63 — Certification Standards for Substance Use Disorder Treatment and Recovery Providers
- Substance Abuse Disorder Residential Treatment Provider Quick Reference Guide
- Substance Abuse Disorder Residential Treatment Facility Directives
- DBH Directives to Comagine Health Six-Month Rollout
Provider Manual & Appendices
- Appendix D - Dental Utilization Review Criteria Guidelines January 2023
- D.C. Medicaid Provider Manual is being updated.
- 719A: Prior Authorization Request Form
- 1728: Intermediate Care Facility/Nursing Facility Level of Care Form
- Cone Beam Computed Tomography in Endodontics — AAE and AAOMR Joint Position Statement
Checklists & Forms
- Child & Adolescent Supplemental Security Income Program Referral
- DME, Vision and Hearing Service Providers Services Checklist
- HLD Scoresheet
- Hospice Election and Physician Certification Form
- Hospice Termination Form
- ICF/IID Recertification Checklist and Forms
- LTCAF/Rehab/SNF: Info Needed for Pre-Admission or Admission Review
- Orthodontic Continuation of Care Submission Form